MRI and MRCP in the Evaluation of Pediatric Pancreatico-Biliary Diseases


The Department of Radiology, Faculty of Medicine, A in Shams University


Abstract Background: This study aimed to determine of the diag-nostic benefit of MRCP as a noninvasive method to evaluate the pancreatico-biliary disorders in pediatric age group. Aim of Study: Is to evaluate the role of MRCP in the diagnosis of pancreatico-biliary disease in pediatric age group. Patients and Methods: The study retrospectively enrolled 25 patients undergoing MRCP for suspected pancreatico-biliary abnormalities. MRCP findings were compared with other imaging modalities, ERCP or operative findings. Results: MRCP had overall sensitivity, specificity, and diagnostic accuracy of 100%, 100% and 88% respectively in detecting the etiology of pancreatico-biliary diseases in our patients. Positive predictive value was 88% while the negative predictive value was 100%. Conclusion: In conclusion, based on own experience, MRCP is a fast, non-invasive method for diagnosing pancre-atico-biliary disorders in children with high diagnostic accu-racy, sensitivity and specificity. MRCP doesn't involve the use of ionizing radiation which is suitable for children. Thus, MRCP ought to be the standard diagnostic procedure in the future.